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All claims received for services provided to a HealthFirst member, Health Choice member, or member accessing Preferred Health Care Network by a Provider/Practitioner who has not been credentialed and contracted with Saint Mary's Health Plans will be processed out-of-network.
Adding a Practitioner to an Existing Group
The credentialing process takes a minimum of ninety (90) days to complete from the time a completed credentialing application is received. It is imperative that you let the Contracting Department know as soon as possible when a new practitioner will be joining your group. To assist in this process the Contracting Department now accepts completed credentialing applications with a practitioner's letter of intent
. This will eliminate the time between notifying Saint Mary's Health Plans of a new practitioner and when an application is sent out for completion and then returned by the practitioner completed for processing. Saint Mary's Health Plans uses the Nevada Standardized Initial Application revised March 2007 for Credentialing. If you prefer, a hard copy of the application can be mailed to you at your request. Please feel free to contact the Contracting Department if you have any questions regarding adding a practitioner to your group.
If you are a New Provider/Practitioner
Send a letter of intent, by facsimile or mail to the Contracting Department, stating your interest in becoming a contracted provider. Please include your name, specialty, practice address, health plan products with which you are requesting panel participation and the date you would first be available to see patients. Please also include a current W-9 with your request. Upon review and approval of your request you will be sent a credentialing application and contract information.
Saint Mary's Health Plans
Contracting Department
1510 Meadow Wood Lane
Reno, NV 89502
Fax #: (775) 770-3823
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